2009

??

:

:

http://www.who.int/patientsafety/events/05/HH_en.pdf

:

WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006

200510

Foca M et al. New England Journal of Medicine, 2000; 343:695-700

Boyce JM et al. Journal of Infectious Disease, 1990, 161:493-499

EI Shafie SS et al. Journal of Infectious Disease, 2004, 56:101-105

:

:

Luby et al. Lancet 2005; 366: 225-233

Cho Ray ::

5.8% 2.5%

: : US$ 332 : US$ 19,320 (15)

Le, Thi Anh Thu, March, 2005 (PhD Thesis)

34

0102030405060708090

1 4 7 10 13 16 19 22 25 28 31 34

Study

Perc

ent C

ompl

ianc

e

MMWR, 2002 Oct., vol 51/RR-16

0%() 15.7%()

15.8% 14.7%

17.5%

?

Pan et al., AJIC, 2008 Pan et al., AJIC, 2008Smith, Carusone, &Loeb., AJIC, 2008

40~ 60 20 ~ 30

WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006, P100-101

:

++++++++++

+++++++++++++++( : )

Gram-negative

Gram-positive

: +++ ++ + Modified from MMWR, 2002 Oct., vol 51/RR-16, P45

22%Chlrohexidine(:)

2()

Widmer AF. Clinical Infectious Diseases, 2000, 31:136-143.

:

( Hydrogen peroxide) 0.125% v/v

( Hydrogen peroxide) 0.125% v/v

(Glycerol) 1.45% v/v(Glycerol) 1.45% v/v,

(isopropyl alcohol) 75% v/v,,

(ethanol) 80% v/v,

WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006, P43

(20083)http://www.chp.gov.hk/files/pdf/Advice_on_School_Disinfection_Chi.pdf

?

,

WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006, summary brochure on hand hygiene

1. 2. 3.

4. 5.

WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006, summary brochure on hand hygiene

20

WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006, summary brochure on hand hygiene

:1.

2.

3.

4.

5.

WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006, summary brochure on hand hygiene

?

Modified from WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006,

summary brochure on hand hygiene

1234561

5. ()

1 ()234570%16

4. 70-80% ()

1 2 33.

1 2 32. ()

1 2 31.

ICO 1 21 2

9. ()

ICO 1 21 2

8. (20-30)

ICO 1 21 2

7. (40-60)

123/456

6. ()

http://www.who.int/gpsc/tools/Five_moments/en/